Individual provider · Type 1 NPI

Candace S. Willis, FNP

Family Nurse Practitioner · Erin, TN

NPI number 1659627388 Active

Practice location

5001 E Main St
Erin, TN 37061-4115

Fax (731) 249-9003

Other practice locations

  • 2545 N Washington Ave, Brownsville, TN 38012-1610 · (931) 289-4211
  • 200 W Church St, Lexington, TN 38351-2038 · (336) 944-6420

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XAPN16883 (TN)
Family Medicine Physician 207Q00000XAPN16883 (TN)
Internal Medicine Physician 207R00000XAPN16883 (TN)
Pediatrics Physician 208000000XAPN16883 (TN)
Diagnostic Radiology Physician 2085R0202XAPN16883 (TN)
Surgery Physician 208600000XAPN16883 (TN)
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Family Nurse Practitioner Primary 363LF0000XAPN16883 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1659627388

Candace S. Willis, FNP's National Provider Identifier is 1659627388, issued on Jul 31, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Erin, TN. The record was last updated on Jul 24, 2024.